Work will be performed within a prescribed range of functions involving routine and non-routine methods and procedures which require the exercise of some discretion and judgement These specialised procedures are commonly conducted in hospitals All activities are carried out in accordance with organisation policies, procedures and infection control guidelines |
Not Applicable
ELEMENT | PERFORMANCE CRITERIA |
1. Prepare client and environment for procedure | 1.1 Verify request for procedure 1.2 Review client's medical records for polysomnographic (PSG) results 1.3 Review and action client's pathology results as required 1.4 Provide correct environment for procedure 1.5 Ensure equipment and materials selected are clean and in working order 1.6 Reassure and explain procedure to client and obtain client consent/agreement as required 1.7 Provide opportunities for client to ask questions and discuss areas of concern 1.8 Instruct client to complete pre-procedure questionnaire |
2. Attach monitoring equipment | 2.1 Utilise personal protective equipment in accordance with standard and additional precautions 2.2 Conduct head measurement to verify sites for electrode placement according to current standards and organisation policies and procedures 2.3 Prepare client's skin for the application of electrodes in accordance with infection control guidelines and client needs 2.4 Position and apply correctly electrodes according to current standards and organisation policies and procedures 2.5 Attach electrodes to headbox |
3. Perform procedure | 3.1 Instruct client to begin 3.2 Perform required polygraph and client calibrations 3.3 Complete document at commencement of procedure in accordance with organisation policies and procedures 3.4 Recognise and note sleep stages according to criteria 3.5 Monitor and document client's behaviour throughout procedure 3.6 Determine contraindicated behaviour and provide intervention, as required 3.7 Identify and respond to clinical emergencies in accordance with organisation emergency procedures |
4. End procedure | 4.1 End procedure according to recommended guidelines 4.2 Remove leads and electrodes from client and wash off paste/gel 4.3 Provide client with assistance as required, on completion of the procedure 4.4 Instruct client to complete post-procedure questionnaire 4.5 Confirm timely follow up with referring doctor for results 4.6 Clean and store electrodes in accordance with manufacturer's guidelines 4.7 Dispose of disposable electrodes and other materials in accordance with waste management procedures 4.8 Re stock equipment and materials 4.9 Clean and restore environment 4.10 Complete, print and present report to specialist for review |
This describes the essential skills and knowledge and their level required for this unit. |
Essential knowledge: The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role This includes knowledge of: Anatomy and physiology relevant for specialised sleep studies Basic electrical knowledge and electrical safety requirements Causes of the common trace interference and the appropriate remedies Confidentiality requirements of client information Emergency procedures in the event of a clinical emergency relevant in the performance of a diagnostic sleep study General knowledge of infection control principles and their application Identify artefacts and their source Recognise normal waveforms relating to sleep onset and sleep stages Routine maintenance policy and procedures for equipment |
Essential skills: It is critical that the candidate demonstrate the ability to: Apply knowledge of boundaries of responsibilities and refer problems to supervisor or other appropriate health professional Communicate effectively with clients/carers in relation to the procedure and manage clients' anxiety level Comply with policies and procedures including those of OHS and infection control Demonstrate all steps that must be taken to ensure equipment is safe and functioning correctly Identify and manage all forms of interference with trace In addition, the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role This includes the ability to: Communicate with people from diverse cultural and linguistic backgrounds Correctly anchor electrodes, sensors and leads Correctly connect electrodes to headbox Correctly operate computer hardware and associated monitoring equipment Correctly prepare skin Deal with conflict continued ... |
Essential skills (contd): Demonstrate basic cardiopulmonary resuscitation Identify a sleep study trace that is unsatisfactory for diagnostic purposes Manage the known common interferences in the production of a sleep study trace Place and attach electrodes to achieve an EEG recording of diagnostic quality Produce a sleep study trace satisfactory for diagnostic purposes Solve problems including an ability to use available resources Take into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues Use numeracy skills may range from the ability to complete basic arithmetic calculations, recording stock levels and statistical information Use oral communication skills required to fulfil job roles in a safe manner and as specified by the organisation, including skills in: asking questions providing clear information listening to and understanding workplace instructions clarifying workplace instructions when necessary effective verbal and non verbal communication with a range of internal and external persons literacy in English or a community language, depending on client group and organisation requirements Use reading and writing skills required to fulfil job roles in a safe manner and as specified by the organisation at a level of skill that involves reading and documenting clinical information and understanding complex policy and procedure manuals Work with others and display empathy with client and relatives |
The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package. | |
Critical aspects for assessment and evidence required to demonstrate this competency unit: | The individual being assessed must provide evidence of specified essential knowledge as well as skills Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible Consistency of performance should be demonstrated over the required range of situations relevant to the workplace |
Context of and specific resources for assessment: | Relevant organisation policy, guidelines, procedures and protocols |
Method of assessment: | Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision Observation of work activities when performing specialised procedures Observation of simulation and/or role play when performing specialised procedures Discussion of physical and/or behavioural contingency scenarios involving duty of care Authenticated transcripts of relevant education/training courses Recognition of relevant life/work experience Questioning, written assessments/projects, e-learning can be used to assess knowledge Authenticated reports of experience in performing specialised procedures (Documentation associated with performance reviews, supervisor/co-ordinator evaluations of work performance) Training records associated with First Aid, OHS training, orientation/induction training, safe manual handing, universal infection control procedures Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice |
Access and equity considerations: | All workers in the health industry should be aware of access and equity issues in relation to their own area of work All workers should develop their ability to work in a culturally diverse environment In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities |
Related units: | This unit can be assessed independently, however holistic assessment practice with other health services units of competency is encouraged |
The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts. | |
Clients may include: | Infants Children Adolescents Adults Elderly |
Action in response to client's pathology results may include: | Blood test and urine analysis for drug screening as requested by physician |
Correct environment may include: | Quiet Dark Temperature controlled |
Equipment and materials may include: | Sleep recording system EEG electrodes Conductive paste Gauze Tape |
Personal protective equipment may include: | Gloves Mask Goggles Gown |
Sleep stages must include: | Wakefulness Sleep onset REM onset |
Contraindicated behaviour may include: | Use of stimulating or other drugs eg caffeine, alcohol Use of tobacco Exercise Non-compliance with procedure |
Clinical emergencies may include: | Severe respiratory distress Cardio-respiratory arrest |
Post-procedure questionnaire may include: | Length of sleep Amount of sleep Amount of dreaming Abnormal sensations eg feeling paralysed |
Report must include: | Number and time of naps Various latencies ie latency to sleep and to REM Number of sleep onset REM episodes Client's perception of nap Total sleep time of previous night's PSG Comparison of previous night's PSG sleep time with normal sleep time Overall mean sleep latency Total sleep in each nap Number of REM naps |
Not Applicable
This unit contains Employability Skills |
Not Applicable